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This metabolic shift triggers a state similar to dietary ketosis
Regain can happen because appetite returns, calorie needs change, daily movement drops, old habits resurface, or medication changes are not paired with a realistic plan
reducing the risk of decreased glomerular filtration rate, end-stage renal disease, and cardiovascular mortality in patients with diabetes mellitus and chronic kidney disease
Their metabolic flexibility and skin elasticity support rapid transformation
References Teichman et al
One important note: employer contributions can be increased during the benefit year but cannot be decreased
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